Efectividad de la terapia Watsu en pacientes con artritis idiopática juvenil. Un ensayo clínico controlado paralelo, aleatorio y simple ciego

Natalia E. Pérez Ramírez*, Paula Nahuelhual Cares, Pamela San Martín Peñailillo

*Autor correspondiente de este trabajo

Resultado de la investigación: Contribución a una revistaArtículorevisión exhaustiva

4 Citas (Scopus)

Resumen

Introduction: Juvenile idiopathic arthritis (JIA) is a rheumatologic disease in children under 16 years old, which causes early physical disability. The use of hydrotherapy Watsu in these patients is proposed. Objective: To evaluate the effectiveness of Watsu compared to conventional hydrotherapy on health-related quality of life (HRQoL), functional health status, pain, and ranges of joint motion in patients with acute or subacute JIA. Patients and Method: Randomized (1:1) single-blind parallel controlled clinical trial in 46 patients with acute and subacute JIA between 8-18 years old. Pediatric Quality of Life Inventory 4.0 (PedsQL4.0), Childhood Health Assessment Questionnaire (CHAQ), and 10-joints Global range of motion score (GROMS) assessments were used at the beginning, post-treatment, and after three months of follow-up. Patients were randomly assigned to the Watsu group (n = 24) and to the conventional hydrotherapy group (n = 22), participating in 10 sessions of 45 minutes once a week. Results: Watsu therapy showed statistically significant improvements in physical functioning-HRQoL (p = 0.041), disability index (p = 0.015), distress index (p = 0.015), and functional health status-CHAQ (p = 0.013) after treatment compared to conventional hydrotherapy. Conclusions: Watsu therapy improved HRQoL, pain sensation, and functional health status compared to conventional hydrotherapy. Methodological adaptations are required in future studies to improve the external validity of these results.

Título traducido de la contribuciónEffectiveness of Watsu therapy in patients with juvenile idiopathic arthritis. A parallel, randomized, controlled and single-blind clinical trial
Idioma originalEspañol
Páginas (desde-hasta)282-292
Número de páginas11
PublicaciónRevista Chilena de Pediatria
Volumen90
N.º3
DOI
EstadoPublicada - 1 may. 2019
Publicado de forma externa

Nota bibliográfica

Publisher Copyright:
© 2019, Sociedad Chilena de Pediatria. All rights reserved.

Palabras clave

  • Autoimmune diseases
  • Hydrotherapy
  • Juvenile idiopathic arthritis
  • Rehabilitation
  • Watsu

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